Tish Silva, LCSW - Therapist in California

About Tish

Tish Silva is a licensed clinical social worker with 18 years of experience. She uses practical, down-to-earth methods to help people manage stress, anxiety, trauma, grief, and depression. She emphasizes each person's strengths and respects the client as the expert on their own life.

Her approach centers on building trust and clear goals. She draws from Attachment-Based Therapy to look at patterns in close relationships, and from Cognitive Behavioral Therapy to identify and change unhelpful thoughts and behaviors.

Background and approach

She also uses Client-Centered techniques to keep sessions focused on the client's needs and values. Tish has worked with people facing relationship and intimacy concerns, LGBT issues, anger, self-esteem challenges, and ADHD. She also addresses family-related topics such as abandonment, adoption and foster care, blended family dynamics, and family of origin issues.

Additional areas include caregiver stress, chronic illness or pain, body image, codependency, dissociation, guilt, and shame. Sessions may include straightforward skill-building, moment-to-moment problem solving, and exploring how past relationships shape current patterns. She encourages small, practical steps and collaborative planning so clients can try out changes between sessions.

She is licensed in California - CA LCSW 76647 - and meets with people who are physically located in that state. Sessions are typically offered via video or phone, and other messaging formats may be available depending on the situation.

Therapeutic approaches and online support

Attachment-Based Therapy looks at how early and current relationships shape reactions and expectations. It can help people notice patterns in close relationships and try new ways of connecting that feel safer and clearer.

Cognitive Behavioral Therapy, or CBT, focuses on the thoughts and behaviors that keep problems going. It uses practical exercises to test new ways of thinking and small behavioral steps to reduce anxiety, lift mood, or change habits.

Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what feels most useful. Together they decide which methods to try and adjust the plan as progress is made.

Online therapy offers flexible options like video calls, phone sessions, live chat, and text-based messaging. These formats make it easier to fit sessions into busy schedules and to keep continuity when life is unpredictable. They also let people practice skills in their day-to-day settings and check in between live conversations.

Attachment-Based Therapy

Looks at how early bonds shaped what you expect from closeness, and how that plays out now with a partner, a parent, or your own children.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Frequently asked questions

What kinds of problems does she help with?

Tish works with stress, anxiety, trauma and abuse, grief, depression, and coping with life changes. She also addresses relationship and intimacy issues, LGBT concerns, ADHD, anger, and self-esteem.

What is her therapeutic style like?

She blends Attachment-Based, Cognitive Behavioral, and Client-Centered approaches. Expect practical skills, attention to relationship patterns, and sessions shaped around your priorities.

How much experience does she have?

She brings 18 years of professional experience working with people on a range of emotional and life challenges.

Where is she licensed and based?

She is licensed in California as an LCSW with license number CA LCSW 76647 and meets with people who are physically located in that state.

Which languages are sessions offered in?

Sessions are offered in English.

What session formats are offered?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging depending on what fits the client and the situation.

How does payment work and what does it cost?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.

Specialties and expertise

Top specialties

Therapeutic approaches

Experience: 18 years
Licensed: California
Languages: English

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